TelematiV1, PascalFrancis, Corpus, bibRecord, 000384

Variation in the classification of polyneuropathies among European physicians

Identifieur interne : 000384 ( PascalFrancis/Corpus ); précédent : 000383; suivant : 000385

Variation in the classification of polyneuropathies among European physicians

Auteurs : H. Tankisi ; B. Johnsen ; A. Fuglsang-Frederiksen ; M. De Carvalho ; P. R. W. Fawcett ; A. Labarre-Vila ; R. Liguori ; W. Nix ; M. Olsen ; I. Schofield

Source :

Clinical neurophysiology [ 1388-2457 ] ; 2003.

RBID : Pascal:03-0193883

Descripteurs français

Pascal (Inist)
- Polyneuropathie périphérique, Electromyographie, Europe, Classification, Homme, Médecin.

English descriptors

KwdEn :
- Classification, Electromyography, Europe, Human, Physician, Polyneuropathy.

Abstract

Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 1388-2457`
A03		`1`		`@0 Clin. neurophysiol.`
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A08	`01`	`1`	`ENG`	`@1 Variation in the classification of polyneuropathies among European physicians`
A11	`01`	`1`		`@1 TANKISI (H.)`
A11	`02`	`1`		`@1 JOHNSEN (B.)`
A11	`03`	`1`		`@1 FUGLSANG-FREDERIKSEN (A.)`
A11	`04`	`1`		`@1 DE CARVALHO (M.)`
A11	`05`	`1`		`@1 FAWCETT (P. R. W.)`
A11	`06`	`1`		`@1 LABARRE-VILA (A.)`
A11	`07`	`1`		`@1 LIGUORI (R.)`
A11	`08`	`1`		`@1 NIX (W.)`
A11	`09`	`1`		`@1 OLSEN (M.)`
A11	`10`	`1`		`@1 SCHOFIELD (I.)`
A14	`01`			`@1 Department of Clinical Neurophysiology, Aarhus University Hospital, AKH, Nørrebrogade 44, 8000 @2 Aarhus @3 DNK @Z 1 aut. @Z 2 aut. @Z 3 aut.`
A14	`02`			`@1 Department of Neurology, Hospital de Santa Maria @2 Lisbon @3 PRT @Z 4 aut.`
A14	`03`			`@1 Deportment of Clinical Neurophysiology, Newcastle General Hospital @2 Newcastle upon Tyne @3 GBR @Z 5 aut. @Z 10 aut.`
A14	`04`			`@1 Laboratory of Electromyography, University of Grenoble, Centre Hospitalier Universitaire @2 Grenoble @3 FRA @Z 6 aut.`
A14	`05`			`@1 Institute of Neurology, University of Bologna @2 Bologna @3 ITA @Z 7 aut.`
A14	`06`			`@1 FDepartment of Neurology, University Clinics @2 Mainz @3 DEU @Z 8 aut.`
A14	`07`			`@1 Department of Clinical Epidemiology, Aarhus University @2 Aarhus @3 DNK @Z 9 aut.`
A20				`@1 496-503`
A21				`@1 2003`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 5626E @5 354000107730190110`
A44				`@0 0000 @1 © 2003 INIST-CNRS. All rights reserved.`
A45				`@0 26 ref.`
A47	`01`	`1`		`@0 03-0193883`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Clinical neurophysiology`
A66	`01`			`@0 IRL`
C01	`01`		`ENG`	@0 Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.
C02	`01`	`X`		`@0 002B17A08`
C03	`01`	`X`	`FRE`	`@0 Polyneuropathie périphérique @5 01`
C03	`01`	`X`	`ENG`	`@0 Polyneuropathy @5 01`
C03	`01`	`X`	`SPA`	`@0 Polineuropatía periférica @5 01`
C03	`02`	`X`	`FRE`	`@0 Electromyographie @5 04`
C03	`02`	`X`	`ENG`	`@0 Electromyography @5 04`
C03	`02`	`X`	`SPA`	`@0 Electromiografía @5 04`
C03	`03`	`X`	`FRE`	`@0 Europe @2 NG @5 16`
C03	`03`	`X`	`ENG`	`@0 Europe @2 NG @5 16`
C03	`03`	`X`	`SPA`	`@0 Europa @2 NG @5 16`
C03	`04`	`X`	`FRE`	`@0 Classification @5 17`
C03	`04`	`X`	`ENG`	`@0 Classification @5 17`
C03	`04`	`X`	`SPA`	`@0 Clasificación @5 17`
C03	`05`	`X`	`FRE`	`@0 Homme @5 20`
C03	`05`	`X`	`ENG`	`@0 Human @5 20`
C03	`05`	`X`	`SPA`	`@0 Hombre @5 20`
C03	`06`	`X`	`FRE`	`@0 Médecin @5 23`
C03	`06`	`X`	`ENG`	`@0 Physician @5 23`
C03	`06`	`X`	`SPA`	`@0 Médico @5 23`
C07	`01`	`X`	`FRE`	`@0 Système nerveux pathologie @5 37`
C07	`01`	`X`	`ENG`	`@0 Nervous system diseases @5 37`
C07	`01`	`X`	`SPA`	`@0 Sistema nervioso patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Nerf périphérique pathologie @5 38`
C07	`02`	`X`	`ENG`	`@0 Peripheral nerve disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Nervio periférico patología @5 38`
C07	`03`	`X`	`FRE`	`@0 Electrodiagnostic @5 45`
C07	`03`	`X`	`ENG`	`@0 Electrodiagnosis @5 45`
C07	`03`	`X`	`SPA`	`@0 Electrodiagnóstico @5 45`
N21				`@1 111`
N82				`@1 PSI`

Format Inist (serveur)

NO :	PASCAL 03-0193883 INIST
ET :	Variation in the classification of polyneuropathies among European physicians
AU :	TANKISI (H.); JOHNSEN (B.); FUGLSANG-FREDERIKSEN (A.); DE CARVALHO (M.); FAWCETT (P. R. W.); LABARRE-VILA (A.); LIGUORI (R.); NIX (W.); OLSEN (M.); SCHOFIELD (I.)
AF :	Department of Clinical Neurophysiology, Aarhus University Hospital, AKH, Nørrebrogade 44, 8000/Aarhus/Danemark (1 aut., 2 aut., 3 aut.); Department of Neurology, Hospital de Santa Maria/Lisbon/Portugal (4 aut.); Deportment of Clinical Neurophysiology, Newcastle General Hospital/Newcastle upon Tyne/Royaume-Uni (5 aut., 10 aut.); Laboratory of Electromyography, University of Grenoble, Centre Hospitalier Universitaire/Grenoble/France (6 aut.); Institute of Neurology, University of Bologna/Bologna/Italie (7 aut.); FDepartment of Neurology, University Clinics/Mainz/Allemagne (8 aut.); Department of Clinical Epidemiology, Aarhus University/Aarhus/Danemark (9 aut.)
DT :	Publication en série; Niveau analytique
SO :	Clinical neurophysiology; ISSN 1388-2457; Irlande; Da. 2003; Vol. 114; No. 3; Pp. 496-503; Bibl. 26 ref.
LA :	Anglais
EA :	Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.
CC :	002B17A08
FD :	Polyneuropathie périphérique; Electromyographie; Europe; Classification; Homme; Médecin
FG :	Système nerveux pathologie; Nerf périphérique pathologie; Electrodiagnostic
ED :	Polyneuropathy; Electromyography; Europe; Classification; Human; Physician
EG :	Nervous system diseases; Peripheral nerve disease; Electrodiagnosis
SD :	Polineuropatía periférica; Electromiografía; Europa; Clasificación; Hombre; Médico
LO :	INIST-5626E.354000107730190110
ID :	03-0193883

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Pascal:03-0193883

Le document en format XML

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<author><name sortKey="Olsen, M" sort="Olsen, M" uniqKey="Olsen M" first="M." last="Olsen">M. Olsen</name>
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<front><div type="abstract" xml:lang="en">Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.</div>
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<fA14 i1="01"><s1>Department of Clinical Neurophysiology, Aarhus University Hospital, AKH, Nørrebrogade 44, 8000</s1>
<s2>Aarhus</s2>
<s3>DNK</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Department of Neurology, Hospital de Santa Maria</s1>
<s2>Lisbon</s2>
<s3>PRT</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Deportment of Clinical Neurophysiology, Newcastle General Hospital</s1>
<s2>Newcastle upon Tyne</s2>
<s3>GBR</s3>
<sZ>5 aut.</sZ>
<sZ>10 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Laboratory of Electromyography, University of Grenoble, Centre Hospitalier Universitaire</s1>
<s2>Grenoble</s2>
<s3>FRA</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Institute of Neurology, University of Bologna</s1>
<s2>Bologna</s2>
<s3>ITA</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>FDepartment of Neurology, University Clinics</s1>
<s2>Mainz</s2>
<s3>DEU</s3>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="07"><s1>Department of Clinical Epidemiology, Aarhus University</s1>
<s2>Aarhus</s2>
<s3>DNK</s3>
<sZ>9 aut.</sZ>
</fA14>
<fA20><s1>496-503</s1>
</fA20>
<fA21><s1>2003</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>5626E</s2>
<s5>354000107730190110</s5>
</fA43>
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<s1>© 2003 INIST-CNRS. All rights reserved.</s1>
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<fA45><s0>26 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>03-0193883</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Clinical neurophysiology</s0>
</fA64>
<fA66 i1="01"><s0>IRL</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B17A08</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Polyneuropathie périphérique</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Polyneuropathy</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Polineuropatía periférica</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Electromyographie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Electromyography</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Electromiografía</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Europe</s0>
<s2>NG</s2>
<s5>16</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Europe</s0>
<s2>NG</s2>
<s5>16</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Europa</s0>
<s2>NG</s2>
<s5>16</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Classification</s0>
<s5>17</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Classification</s0>
<s5>17</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Clasificación</s0>
<s5>17</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Médecin</s0>
<s5>23</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Physician</s0>
<s5>23</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Médico</s0>
<s5>23</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Nerf périphérique pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Peripheral nerve disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Nervio periférico patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Electrodiagnostic</s0>
<s5>45</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Electrodiagnosis</s0>
<s5>45</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Electrodiagnóstico</s0>
<s5>45</s5>
</fC07>
<fN21><s1>111</s1>
</fN21>
<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 03-0193883 INIST</NO>
<ET>Variation in the classification of polyneuropathies among European physicians</ET>
<AU>TANKISI (H.); JOHNSEN (B.); FUGLSANG-FREDERIKSEN (A.); DE CARVALHO (M.); FAWCETT (P. R. W.); LABARRE-VILA (A.); LIGUORI (R.); NIX (W.); OLSEN (M.); SCHOFIELD (I.)</AU>
<AF>Department of Clinical Neurophysiology, Aarhus University Hospital, AKH, Nørrebrogade 44, 8000/Aarhus/Danemark (1 aut., 2 aut., 3 aut.); Department of Neurology, Hospital de Santa Maria/Lisbon/Portugal (4 aut.); Deportment of Clinical Neurophysiology, Newcastle General Hospital/Newcastle upon Tyne/Royaume-Uni (5 aut., 10 aut.); Laboratory of Electromyography, University of Grenoble, Centre Hospitalier Universitaire/Grenoble/France (6 aut.); Institute of Neurology, University of Bologna/Bologna/Italie (7 aut.); FDepartment of Neurology, University Clinics/Mainz/Allemagne (8 aut.); Department of Clinical Epidemiology, Aarhus University/Aarhus/Danemark (9 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Clinical neurophysiology; ISSN 1388-2457; Irlande; Da. 2003; Vol. 114; No. 3; Pp. 496-503; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database. Methods: Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis). Results: Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P<0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested. Conclusions: Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.</EA>
<CC>002B17A08</CC>
<FD>Polyneuropathie périphérique; Electromyographie; Europe; Classification; Homme; Médecin</FD>
<FG>Système nerveux pathologie; Nerf périphérique pathologie; Electrodiagnostic</FG>
<ED>Polyneuropathy; Electromyography; Europe; Classification; Human; Physician</ED>
<EG>Nervous system diseases; Peripheral nerve disease; Electrodiagnosis</EG>
<SD>Polineuropatía periférica; Electromiografía; Europa; Clasificación; Hombre; Médico</SD>
<LO>INIST-5626E.354000107730190110</LO>
<ID>03-0193883</ID>
</server>
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Variation in the classification of polyneuropathies among European physicians

Variation in the classification of polyneuropathies among European physicians

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